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C R Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS H y <br /> r a <br /> OWNER a TELEPHONE <br /> d <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS 0 i <br /> J P I1� <br /> 0 <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMTf(5): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE rn <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 r <br /> STRUCTURE/ADDITION USE: (S _ 'e, z <br /> (H Cabin; Commercial In ss; Bedroom; Deck; etc.) ° <br /> BUILDING CONTRACTOR: W IL- U OQ <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS � o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, d B <br /> AND INDICATE NORTH (N). NSki Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) W <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK (L w'' <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF),AND ALL DISTANCES a �J <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE ` f <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN SLS 1 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> N1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT, n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. A <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. aA >oacb <br /> Kn333 � aA �' <br /> 1 declare that this application(Including any accompanying schedule)has been examined by me and to the best of my c .°� w' <br /> Information contained In this application(including any accompanying schedule)and 1 further declare that I recognize that this <br /> knowledge and bellef it Is true,correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of all a to m <br /> `° E. a a r <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this 7„}„` ,, b <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have � C1 8 0 t" <br /> access to the above-described premises at any reasonable time or the purpose of Insoectlon. pr1 <br /> / til a e o o S 8 Y <br /> OWNER'S SIGNATURE <br /> (date) o <br /> nnJ=, _. „ <br /> ZONING ADMINISTRATOR I I� � I 71 1(.�al )N : H w' ', B n ts1 <br /> TOWNSHIP PERMITS MAY BE REQUIRED I <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N o N <br /> ,,, 00008 <br />